The Impact of Transtheoretical Model-Based Motivational Interviewing on Self-Efficacy and Adherence to Treatment in Hemodialysis Patients

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-06-10 DOI:10.1111/jep.70152

Hüseyin Çapuk, Rukuye Aylaz

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引用次数: 0

Abstract

Aim(s)

The aim of this study was to evaluate the impact of Transtheoretical Model-based Motivational Interviewing on self-efficacy and illness adjustment in hemodialysis patients.

Background

Hemodialysis patients often face challenges in adhering to dietary, fluid, and medication guidelines due to the lengthy nature of the dialysis sessions and various associated restrictions.

Methods

This study was conducted between June 2022 and March 2023 at hemodialysis centers in eastern Turkey. It included 30 patients in the experimental group and 30 in the control group. The experimental group received six sessions of Transtheoretical Model-based motivational interviewing, while the control group received no intervention. This pretest-posttest randomized controlled trial was registered in the Clinical Trials Registry (NCT06706843).

Results

The results indicated a significant improvement in GSES scores. A significant difference was found between the groups in pre-test scores (p < 0.05), and a statistically significant difference was also observed in Posttest scores (p < 0.05). Within-group comparisons revealed significant differences between pretest and posttest scores for the experimental group (p < 0.05). There was a significant difference between pre-test and Posttest scores in the control group (p < 0.05). In the SDBM-NOS showed a significant difference between the experimental and control groups in the dietary adherence subscale at Posttest (p < 0.05), but no significant difference was found in the other subscales. In the experimental group, a significant improvement was observed between pre-test and Posttest in terms of total ESRD-AS score, fluid compliance and dietary compliance (p < 0.05). In the control group, no significant difference was found for any variable (p > 0.05). A significant negative correlation was found between GSES and ESRD-AS.

Conclusion

In conclusion, Transtheoretical Model-based Motivational Interviewing was found to significantly improve treatment adherence and self-efficacy in chronic hemodialysis patients, contributing to better illness adjustment.

Trial Registration: ClinicalTrials.gov identifier: NCT06706843.

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基于跨理论模型的动机访谈对血液透析患者自我效能感和治疗依从性的影响

目的：本研究旨在探讨跨理论模型动机访谈对血液透析患者自我效能感和疾病适应的影响。背景：由于透析疗程的漫长和各种相关限制，血液透析患者在坚持饮食、液体和药物指南方面经常面临挑战。该研究于2022年6月至2023年3月在土耳其东部的血液透析中心进行。实验组30例，对照组30例。实验组接受6次基于跨理论模型的动机访谈，对照组不接受干预。该前测后测随机对照试验已在临床试验注册中心注册（NCT06706843）。结果两组患者GSES评分均有明显改善。各组前测得分差异有统计学意义（p < 0.05），后测得分差异有统计学意义（p < 0.05）。组内比较显示实验组前测和后测得分有显著差异（p < 0.05）。对照组前测与后测得分差异有统计学意义（p < 0.05）。在SDBM-NOS测试中，实验组与对照组在饮食依从性量表后测中差异有统计学意义（p < 0.05），其他量表差异无统计学意义（p < 0.05）。实验组的ESRD-AS总分、液体依从性和饮食依从性在测试前和测试后均有显著改善（p < 0.05）。对照组各变量差异无统计学意义（p > 0.05）。GSES与ESRD-AS呈显著负相关。结论基于跨理论模型的动机访谈能显著提高慢性血液透析患者的治疗依从性和自我效能感，有助于患者更好地适应疾病。试验注册：ClinicalTrials.gov标识符：NCT06706843。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.